, Primary ssCare: ssArt ssand ssScience ssof ssAdvanced ssPractice ssNursing ss- ssAn
th
ssInterprofessional ssApproach ss5 ssedition ssDunphy ssTest ssBank
Chapter ss1. ssPrimary ssCare ssin ssthe ssTwenty-First ssCentury: ssA ssCircle ssof
ssCaring
1. A ssnurse sshas ssconducted ssa ssliterature ssreview ssin ssan sseffort ssto ssidentify ssthe sseffect ssof sshandwashing
sson ssthe ssincidence ssof ssnosocomial ss(hospital-acquired) ssinfections ssin ssacute sscare sssettings. ssAn
ssarticle sspresented ssfindings ssat ssa sslevel ssof sssignificance ssof ss<0.01. ssThis ssindicates ssthat
A) the sscontrol ssgroup ssand ssthe ssexperimental ssgroup sswere ssmore ssthan ss99% sssimilar.
B) the ssfindings ssof ssthe ssstudy sshave ssless ssthan ss1% sschance ssof ssbeing ssattributable ssto sschance.
C) the sseffects ssof ssthe ssintervention sswere ssnearly sszero.
D) the ssclinical sssignificance ssof ssthe ssfindings sswas ssless ssthan ss1:100.
Ans: ssB
Feedback: ssThe sslevel ssof sssignificance ssis ssthe sslevel ssat sswhich ssthe ssresearcher ssbelieves ssthat ssthe ssstudy
ssresults ssmost sslikely ssrepresent ssa ssnonchance ssevent. ssA sslevel ssof sssignificance ssof ss<0.01 ssindicates ssthat
ssthere ssis ssless ssthan ss1% ssprobability ssthat ssthe ssresult ssis ssdue ssto sschance.
2. A ssnurse sshas ssread ssa ssqualitative ssresearch ssstudy ssin ssorder ssto ssunderstand ssthe sslived ssexperience ssof
ssparents sswho sshave ssa ssneonatal ssloss. ssWhich ssof ssthe ssfollowing ssquestions ssshould ssthe ssnurse
ssprioritize sswhen ssappraising ssthe ssresults ssof ssthis ssstudy?
A) How sswell ssdid ssthe ssauthors sscapture ssthe sspersonal ssexperiences ssof ssthese ssparents?
B) How sswell ssdid ssthe ssauthors sscontrol ssfor ssconfounding ssvariables ssthat ssmay sshave ssaffected ssthe ssfindings?
C) Did ssthe ssauthors ssuse ssstatistical ssmeasures ssthat sswere ssappropriate ssto ssthe ssphenomenon ssin ssquestion?
D) Were ssthe ssinstruments ssthat ssthe ssresearchers ssused ssstatistically ssvalid ssand ssreliable?
Ans: ssA
Feedback: ssQualitative ssstudies ssare ssjudged sson ssthe ssbasis ssof sshow sswell ssthey sscapture ssand ssconvey
ssthe sssubjective ssexperiences ssof ssindividuals. ssStatistical ssmeasures ssand ssvariables ssare ssnot
ssdimensions ssof ssa ssqualitative ssmethodology.
3. A ssnurse sshas ssexpressed ssskepticism ssto ssa sscolleague ssabout ssthe ssvalue ssof ssnursing ssresearch,
ssclaiming ssthat ssnursing ssresearch sshas sslittle ssrelevance ssto sspractice. ssHow sscan ssthe ssnurses sscolleague
ssbest ssdefend ssthe ssimportance ssof ssnursing ssresearch?
,A) The ssexistence ssof ssnursing ssresearch ssmeans ssthat ssnurses ssare ssnow ssable ssto ssaccess ssfederal ssgrant
ssmoney, sssomething ssthat ssdidnt ssuse ssto ssbe ssthe sscase.
B) Nursing ssresearch sshas ssallowed ssthe ssdevelopment ssof ssmasters ssand ssdoctoral ssprograms ssand sshas
ssgreatly ssincreased ssthe sscredibility ssof ssthe ssprofession.
C) The ssgrowth ssof ssnursing ssresearch sshas sscaused ssnursing ssto ssbe ssviewed ssas ssa sstrue ssprofession,
ssrather ssthan sssimply ssas ssa sstrade ssor ssa ssskill.
D) The ssapplication ssof ssnursing ssresearch sshas ssthe sspotential ssto ssimprove ssnursing sspractice ssand
sspatient ssoutcomes.
Ans: ssD
Feedback: ssThe ssgreatest ssvalue ssof ssnursing ssresearch sslies ssin ssthe sspotential ssto ssimprove sspractice
ssand, ssultimately, ssto ssimprove sspatient ssoutcomes. ssThis sssupersedes ssthe sscontributions ssof ssnursing
ssresearch ssto sseducation ssprograms, ssgrant ssfunding, ssor ssthe sspublic ssview ssof ssthe ssprofession.
4. Tracy ssis ssa ssnurse sswith ssa ssbaccalaureate ssdegree sswho ssworks ssin ssthe sslabor ssand ssdelivery ssunit ssof
ssa ssbusy ssurban sshospital. ssShe sshas ssnoticed ssthat ssmany ssnew ssmothers ssabandon ssbreast-feeding sstheir
ssbabies sswhen ssthey ssexperience ssearly sschallenges ssand sswonders sswhat sscould ssbe ssdone ssto
ssencourage ssmore sswomen ssto sscontinue ssbreast-feeding. ssWhat ssrole ssis ssTracy ssmost sslikely ssto ssplay
ssin ssa ssresearch ssproject ssthat sstests ssan ssintervention ssaimed ssat sspromoting ssbreast-feeding?
A) Applying ssfor ssgrant ssfunding ssfor ssthe ssresearch ssproject
B) Posing ssthe ssclinical ssproblem ssto ssone ssor ssmore ssnursing ssresearchers
C) Planning ssthe ssmethodology ssof ssthe ssresearch ssproject
D) Carrying ssout ssthe ssintervention ssand sssubmitting ssthe ssresults ssfor
publication ssAns: ssB
ss
Feedback: ssA ssmajor ssrole ssfor ssstaff ssnurses ssis ssto ssidentify ssquestions ssor ssproblems ssfor ssresearch.
ssGrant ssapplications, ssmethodological ssplanning, ssand sspublication sssubmission ssare ssnormally
sscarried ssout ssby ssnurses sswho sshave ssadvanced ssdegrees ssin ssnursing.
5. A sspatient sssigned ssthe ssinformed ssconsent ssform ssfor ssa ssdrug sstrial ssthat sswas ssexplained ssto sspatient
ssby ssa ssresearch ssassistant. ssLater, ssthe sspatient ssadmitted ssto sshis ssnurse ssthat sshe ssdid ssnot ssunderstand
ssthe ssresearch ssassistants ssexplanation ssor sshis ssown ssrole ssin ssthe ssstudy. ssHow ssshould ssthis sspatients
ssnurse ssrespond ssto ssthis ssrevelation?
A) Explain ssthe ssresearch ssprocess ssto ssthe sspatient ssin ssgreater ssdetail.
B) Describe ssthe ssdetails ssof ssa ssrandomized sscontrolled sstrial ssfor ssthe sspatient.
, C) Inform ssthe ssresearch ssassistant ssthat ssthe sspatients ssconsent ssis sslikely ssinvalid.
D) Explain ssto ssthe sspatient ssthat sshis sswritten ssconsent ssis ssnow sslegally ssbinding.
Ans: ssC
Feedback: ssJust ssas ssthe ssstaff ssnurse ssis ssnot ssresponsible ssfor ssmedical ssconsent, ssthe ssstaff ssnurse ssis ssnot
ssresponsible ssfor ssresearch ssconsent. ssIf sspatients sswho sshave ssagreed ssto ssparticipate ssexhibit
ssambivalence ssor ssuncertainty ssabout ssparticipating, ssdo ssnot sstry ssto ssconvince ssthem ssto ssparticipate. ssAsk
ssthe ssperson ssfrom ssthe ssresearch ssteam sswho ssis ssmanaging ssconsents ssto ssspeak sswith ssconcerned sspatients
ssabout ssthe ssstudy, sseven ssafter ssa sspatient sshas sssigned ssthe ssconsent ssforms.
Multiple ssSelection
6. A ssnurse ssleader ssis ssattempting ssto ssincrease ssthe ssawareness ssof ssevidence-based sspractice ss(EBP)
ssamong ssthe ssnurses sson ssa ssunit. ssA ssnurse sswho ssis ssimplementing ssEBP ssintegrates sswhich ssof ssthe
ssfollowing? ss(Select ssall ssthat ssapply.)
A) Interdisciplinary ssconsensus
B) Nursing sstradition
C) Research ssstudies
D) Patient sspreferences ssand ssvalues
E) Clinical ssexpertise
Ans: ssC, ssD, ssE
ss
Feedback: ssFineout-Overholt, ssMelnyk, ssStillwell, ssand ssWilliamson ssdefine ssEBP ssas ssa ssproblem-
solving ssapproach ssto ssthe ssdelivery ssof sshealthcare ssthat ssintegrates ssthe ssbest ssevidence ssfrom ssstudies ssand
sspatient sscare ssdata sswith ssclinician ssexpertise ssand sspatient sspreferences ssand ssvalues.
Multiple ssChoice
7. Mrs. ssMayes ssis ssa ss73-year-old sswoman sswho sshas ssa ssdiabetic ssfoot ssulcer ssthat sshas ssbeen ssextremely
ssslow ssto ssheal ssand sswhich ssnow ssposes ssa ssthreat ssof ssosteomyelitis. ssThe sswound sscare ssnurse sswho sshas
ssbeen ssworking sswith ssMrs. ssMayes ssapplies ssevidence-based sspractice ss(EBP) sswhenever sspossible ssand
sshas ssproposed ssthe ssuse ssof ssmaggot sstherapy ssto ssdebride ssnecrotic sstissue. ssMrs. ssMayes, sshowever,
ssfinds ssthe sssuggestion ssrepugnant ssand ssadamantly ssopposes ssthis sstreatment ssdespite ssthe sssizable ssbody
ssof ssevidence sssupporting ssit. ssHow ssshould ssthe ssnurse ssreconcile ssMrs. ssMayes ssviews sswith ssthe
ssprinciples ssof ssEBP?
A) The ssnurse ssshould ssexplain ssthat ssreliable ssand ssvalid ssresearch ssevidence ssoverrides ssthe sspatients
ssopinion.
B) The ssnurse ssshould ssexplain ssthe ssevidence ssto ssthe sspatient ssin ssgreater ssdetail.
th
ssInterprofessional ssApproach ss5 ssedition ssDunphy ssTest ssBank
Chapter ss1. ssPrimary ssCare ssin ssthe ssTwenty-First ssCentury: ssA ssCircle ssof
ssCaring
1. A ssnurse sshas ssconducted ssa ssliterature ssreview ssin ssan sseffort ssto ssidentify ssthe sseffect ssof sshandwashing
sson ssthe ssincidence ssof ssnosocomial ss(hospital-acquired) ssinfections ssin ssacute sscare sssettings. ssAn
ssarticle sspresented ssfindings ssat ssa sslevel ssof sssignificance ssof ss<0.01. ssThis ssindicates ssthat
A) the sscontrol ssgroup ssand ssthe ssexperimental ssgroup sswere ssmore ssthan ss99% sssimilar.
B) the ssfindings ssof ssthe ssstudy sshave ssless ssthan ss1% sschance ssof ssbeing ssattributable ssto sschance.
C) the sseffects ssof ssthe ssintervention sswere ssnearly sszero.
D) the ssclinical sssignificance ssof ssthe ssfindings sswas ssless ssthan ss1:100.
Ans: ssB
Feedback: ssThe sslevel ssof sssignificance ssis ssthe sslevel ssat sswhich ssthe ssresearcher ssbelieves ssthat ssthe ssstudy
ssresults ssmost sslikely ssrepresent ssa ssnonchance ssevent. ssA sslevel ssof sssignificance ssof ss<0.01 ssindicates ssthat
ssthere ssis ssless ssthan ss1% ssprobability ssthat ssthe ssresult ssis ssdue ssto sschance.
2. A ssnurse sshas ssread ssa ssqualitative ssresearch ssstudy ssin ssorder ssto ssunderstand ssthe sslived ssexperience ssof
ssparents sswho sshave ssa ssneonatal ssloss. ssWhich ssof ssthe ssfollowing ssquestions ssshould ssthe ssnurse
ssprioritize sswhen ssappraising ssthe ssresults ssof ssthis ssstudy?
A) How sswell ssdid ssthe ssauthors sscapture ssthe sspersonal ssexperiences ssof ssthese ssparents?
B) How sswell ssdid ssthe ssauthors sscontrol ssfor ssconfounding ssvariables ssthat ssmay sshave ssaffected ssthe ssfindings?
C) Did ssthe ssauthors ssuse ssstatistical ssmeasures ssthat sswere ssappropriate ssto ssthe ssphenomenon ssin ssquestion?
D) Were ssthe ssinstruments ssthat ssthe ssresearchers ssused ssstatistically ssvalid ssand ssreliable?
Ans: ssA
Feedback: ssQualitative ssstudies ssare ssjudged sson ssthe ssbasis ssof sshow sswell ssthey sscapture ssand ssconvey
ssthe sssubjective ssexperiences ssof ssindividuals. ssStatistical ssmeasures ssand ssvariables ssare ssnot
ssdimensions ssof ssa ssqualitative ssmethodology.
3. A ssnurse sshas ssexpressed ssskepticism ssto ssa sscolleague ssabout ssthe ssvalue ssof ssnursing ssresearch,
ssclaiming ssthat ssnursing ssresearch sshas sslittle ssrelevance ssto sspractice. ssHow sscan ssthe ssnurses sscolleague
ssbest ssdefend ssthe ssimportance ssof ssnursing ssresearch?
,A) The ssexistence ssof ssnursing ssresearch ssmeans ssthat ssnurses ssare ssnow ssable ssto ssaccess ssfederal ssgrant
ssmoney, sssomething ssthat ssdidnt ssuse ssto ssbe ssthe sscase.
B) Nursing ssresearch sshas ssallowed ssthe ssdevelopment ssof ssmasters ssand ssdoctoral ssprograms ssand sshas
ssgreatly ssincreased ssthe sscredibility ssof ssthe ssprofession.
C) The ssgrowth ssof ssnursing ssresearch sshas sscaused ssnursing ssto ssbe ssviewed ssas ssa sstrue ssprofession,
ssrather ssthan sssimply ssas ssa sstrade ssor ssa ssskill.
D) The ssapplication ssof ssnursing ssresearch sshas ssthe sspotential ssto ssimprove ssnursing sspractice ssand
sspatient ssoutcomes.
Ans: ssD
Feedback: ssThe ssgreatest ssvalue ssof ssnursing ssresearch sslies ssin ssthe sspotential ssto ssimprove sspractice
ssand, ssultimately, ssto ssimprove sspatient ssoutcomes. ssThis sssupersedes ssthe sscontributions ssof ssnursing
ssresearch ssto sseducation ssprograms, ssgrant ssfunding, ssor ssthe sspublic ssview ssof ssthe ssprofession.
4. Tracy ssis ssa ssnurse sswith ssa ssbaccalaureate ssdegree sswho ssworks ssin ssthe sslabor ssand ssdelivery ssunit ssof
ssa ssbusy ssurban sshospital. ssShe sshas ssnoticed ssthat ssmany ssnew ssmothers ssabandon ssbreast-feeding sstheir
ssbabies sswhen ssthey ssexperience ssearly sschallenges ssand sswonders sswhat sscould ssbe ssdone ssto
ssencourage ssmore sswomen ssto sscontinue ssbreast-feeding. ssWhat ssrole ssis ssTracy ssmost sslikely ssto ssplay
ssin ssa ssresearch ssproject ssthat sstests ssan ssintervention ssaimed ssat sspromoting ssbreast-feeding?
A) Applying ssfor ssgrant ssfunding ssfor ssthe ssresearch ssproject
B) Posing ssthe ssclinical ssproblem ssto ssone ssor ssmore ssnursing ssresearchers
C) Planning ssthe ssmethodology ssof ssthe ssresearch ssproject
D) Carrying ssout ssthe ssintervention ssand sssubmitting ssthe ssresults ssfor
publication ssAns: ssB
ss
Feedback: ssA ssmajor ssrole ssfor ssstaff ssnurses ssis ssto ssidentify ssquestions ssor ssproblems ssfor ssresearch.
ssGrant ssapplications, ssmethodological ssplanning, ssand sspublication sssubmission ssare ssnormally
sscarried ssout ssby ssnurses sswho sshave ssadvanced ssdegrees ssin ssnursing.
5. A sspatient sssigned ssthe ssinformed ssconsent ssform ssfor ssa ssdrug sstrial ssthat sswas ssexplained ssto sspatient
ssby ssa ssresearch ssassistant. ssLater, ssthe sspatient ssadmitted ssto sshis ssnurse ssthat sshe ssdid ssnot ssunderstand
ssthe ssresearch ssassistants ssexplanation ssor sshis ssown ssrole ssin ssthe ssstudy. ssHow ssshould ssthis sspatients
ssnurse ssrespond ssto ssthis ssrevelation?
A) Explain ssthe ssresearch ssprocess ssto ssthe sspatient ssin ssgreater ssdetail.
B) Describe ssthe ssdetails ssof ssa ssrandomized sscontrolled sstrial ssfor ssthe sspatient.
, C) Inform ssthe ssresearch ssassistant ssthat ssthe sspatients ssconsent ssis sslikely ssinvalid.
D) Explain ssto ssthe sspatient ssthat sshis sswritten ssconsent ssis ssnow sslegally ssbinding.
Ans: ssC
Feedback: ssJust ssas ssthe ssstaff ssnurse ssis ssnot ssresponsible ssfor ssmedical ssconsent, ssthe ssstaff ssnurse ssis ssnot
ssresponsible ssfor ssresearch ssconsent. ssIf sspatients sswho sshave ssagreed ssto ssparticipate ssexhibit
ssambivalence ssor ssuncertainty ssabout ssparticipating, ssdo ssnot sstry ssto ssconvince ssthem ssto ssparticipate. ssAsk
ssthe ssperson ssfrom ssthe ssresearch ssteam sswho ssis ssmanaging ssconsents ssto ssspeak sswith ssconcerned sspatients
ssabout ssthe ssstudy, sseven ssafter ssa sspatient sshas sssigned ssthe ssconsent ssforms.
Multiple ssSelection
6. A ssnurse ssleader ssis ssattempting ssto ssincrease ssthe ssawareness ssof ssevidence-based sspractice ss(EBP)
ssamong ssthe ssnurses sson ssa ssunit. ssA ssnurse sswho ssis ssimplementing ssEBP ssintegrates sswhich ssof ssthe
ssfollowing? ss(Select ssall ssthat ssapply.)
A) Interdisciplinary ssconsensus
B) Nursing sstradition
C) Research ssstudies
D) Patient sspreferences ssand ssvalues
E) Clinical ssexpertise
Ans: ssC, ssD, ssE
ss
Feedback: ssFineout-Overholt, ssMelnyk, ssStillwell, ssand ssWilliamson ssdefine ssEBP ssas ssa ssproblem-
solving ssapproach ssto ssthe ssdelivery ssof sshealthcare ssthat ssintegrates ssthe ssbest ssevidence ssfrom ssstudies ssand
sspatient sscare ssdata sswith ssclinician ssexpertise ssand sspatient sspreferences ssand ssvalues.
Multiple ssChoice
7. Mrs. ssMayes ssis ssa ss73-year-old sswoman sswho sshas ssa ssdiabetic ssfoot ssulcer ssthat sshas ssbeen ssextremely
ssslow ssto ssheal ssand sswhich ssnow ssposes ssa ssthreat ssof ssosteomyelitis. ssThe sswound sscare ssnurse sswho sshas
ssbeen ssworking sswith ssMrs. ssMayes ssapplies ssevidence-based sspractice ss(EBP) sswhenever sspossible ssand
sshas ssproposed ssthe ssuse ssof ssmaggot sstherapy ssto ssdebride ssnecrotic sstissue. ssMrs. ssMayes, sshowever,
ssfinds ssthe sssuggestion ssrepugnant ssand ssadamantly ssopposes ssthis sstreatment ssdespite ssthe sssizable ssbody
ssof ssevidence sssupporting ssit. ssHow ssshould ssthe ssnurse ssreconcile ssMrs. ssMayes ssviews sswith ssthe
ssprinciples ssof ssEBP?
A) The ssnurse ssshould ssexplain ssthat ssreliable ssand ssvalid ssresearch ssevidence ssoverrides ssthe sspatients
ssopinion.
B) The ssnurse ssshould ssexplain ssthe ssevidence ssto ssthe sspatient ssin ssgreater ssdetail.
